DEPARTMENT OF HEALTH &
HUMAN SERVICES Public
Health Service
Food
and Drug Administration
Rockville
MD 20857
NDA 18-644
Burroughs-Wellcome Company
Attention: Michael J. Dalton, Pharm.D.
Head, Department of Pharmaceutical Products
Drug Regulatory Affairs
3030 Cornwallis Road
Research Triangle Park, North Carolina 27709
Dear Dr. Dalton:
Please refer to (unreadable) New Drug Application submitted pursuant to section
505(b) of the Federal Food, Drug, and Cosmetic Act for WellbutrinR
(bupropion hydrochloride) tablets.
We acknowledge receipt of your amendment dated
November 20, 1990, requested our opinion whether your proposal would support a
labeling change to permit bid dosing of WellbutrinR at 300 mg/day.
Reference is also made to telephone conversations on November 14 and 28, 1990, between Dr. Loren Miller of your firm and Dr. Thomas Laughren of this Agency, regarding what data would be required to gain approval of a sustained release formulation of WellbutrinR.
We have completed our review of your requests and have the following recommendations:
We agree that a clinical study demonstrating the
safety and effectiveness of the 50 mg bid dosing would not be necessary. However, given the limited data
available about the steady-state pharmacokinetics of bupropion, and
particularly the morpholinol metabolite, we are not prepared to rely on
simulations alone. Therefore, we
would want to see data from actual studies comparing the pharmacokinetics of
bupropion and the morpholinol metabolite in 100 mg tid and 150 mg bid dosing.
Regarding your more informal request for advice
about what studies might be needed to support a sustained release form of
WellbutrinR, we again feel that it would not be necessary to
demonstrate the safety and effectiveness of such a product in a clinical
trial. However, you would, at a
minimum, need to demonstrate that such a product, when given at a total dose of
300 mg/day, resulted in a steady-state plasma levels of bupropion and the
morpholinol metabolite that fell within the time-concentration windows for
these entities seen with 100 mg tid dosing with the immediate release form.
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